亚临床的光学神经炎
Tomislav Vidović1, Branimir Cerovski1, Smiljka Popović-Suić1
1Department of Ophthalmology, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia.
Acta clinica Croatica
|February 2, 2024
概括
没有视神经炎的多发性硬化症 (MS) 患者往往有视力问题. 功能性视力测试显示这些人的视野缺陷显著,对比度敏感性降低.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 急性视神经炎是多发性硬化症 (MS) 的常见眼部症状.
- 多发性硬化症患者的亚临床视神经炎是缓慢的,双边的,往往没有被注意到.
- 在没有急性视神经炎病史的多发性硬化患者中评估视力损伤至关重要.
研究的目的:
- 在没有急性视神经炎病史的多发性硬化症患者中评估视力损伤.
- 使用功能视力测试来检测亚临床视力缺陷.
主要方法:
- 包括35名多发性硬化症患者 (年龄18-50岁),视力敏度正常,没有主观视力障碍.
- 雇佣的章鱼101周边 (N1程序) 用于视觉现场测试.
- 使用Pelli Robson图表来测试对比度灵敏度和石原板来测试色彩视觉.
主要成果:
- 在28名患者 (80%) 检测到视野缺陷.
- 常见的缺陷包括外周视网膜敏感性抑郁和神经纤维束缺陷.
- 在86%的患者中发现对比度敏感性降低.
结论:
- 没有明显的视神经炎的多发性硬化症患者经历了显著的视力功能障碍.
- 章鱼周边测试和Pelli Robson对比度敏感性测试在检测这些亚临床缺陷方面是有效的.
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